Durante mucho tiempo no había principios uniformes para la Atribución de nombres a los antibióticos https://antibioticos-wiki.es . Más a menudo se les llama por el nombre genérico o especie del producto, con menos frecuencia-de acuerdo con la estructura química. Algunos antibióticos se nombran de acuerdo con el lugar donde se asignó el producto.
Microsoft word - health history emergency treatment form 2014
PRINT CHILD’S LAST, FIRST NAME _______________________________ Health History/Emergency Treatment Form Week of Attendance ______________________ Point Reyes Summer Camp 2014 This form must be postmarked or faxed on or before April 4, 2014 (earlier submissions are encouraged)
Mail to: Health Form, Point Reyes Summer Camp
Call 415-663-1200 x 306 to confirm fax was received. THIS FORM IS TO BE COMPLETED BY PARENT/GUARDIAN; NO DOCTOR’S APPOINTMENT IS NECESSARY. If your child has a medical condition or takes prescribed medication, it is likely we will contact you prior to camp. Any changes to the information contained herein must be provided upon arrival at camp. Camper Name _______________________________________ Birth Date ___/___/___ Gender ___ Age at Camp _____
Street Address _____________________________________________ Home Phone ( ) ______________________
City, State, Zip _____________________________________________________________________________________
School ______________________________________________________________________ Grade in fall 2014 ______
POINT REYES SUMMER CAMP REQUIRES A MINIMUM OF THREE EMERGENCY CONTACTS
1. Custodial Parent or Guardian ________________________________________________________________________
Day phone ( ) _________________ Night phone ( ) ___________________Cell ( ) __________________
2. Second Parent or Guardian or Local Relative or Close Family Friend ________________________________________
Day phone ( ) _________________ Night phone ( ) ___________________Cell ( ) __________________
3. Local Relative or Close Family Friend ________________________________________________________________
Day phone ( ) _________________ Night phone ( ) ___________________Cell ( ) __________________
4. Local Relative or Close Family Friend ________________________________________________________________
Day phone ( ) _________________ Night phone ( ) ___________________Cell ( ) __________________
Insurance Carrier & Physician Information: Is the participant covered by medical insurance?
Insurance Carrier or Plan Name _______________________________________ Group # _________________________
Family Physician ________________________________________________ Phone ( ) ______________________
Required Parent/Guardian Authorization I certify that this health history is correct and complete. I authorize that my child named herein has my permission to engage in all camp activities except as noted. I, the undersigned parent/legal guardian, do hereby give permission to the medical personnel selected by the Camp Director or designee to order x-rays, tests, and treatment; to release any records necessary for treatment, referral, billing, or insurance purposes; and to provide or arrange any necessary related transportation for my child. In the event that I cannot be reached in an emergency, I hereby give permission to the health care providers selected by the Camp Director or designee to secure and administer treatment, including hospitalization, for my child. I give my permission for this completed form to be photocopied for official camp purposes. (REQUIRED) Signature of Parent/Guardian* __________________________________________ Date _____________ Printed Name of Parent/Guardian ______________________________________________________________________
I authorize the Camp Director or designee at Point Reyes Summer Camp to administer (please check boxes)
Tylenol (or children’s Tylenol, when appropriate) Benadryl (or children’s Benadryl, when appropriate
in the appropriate dosage for my child’s age and weight, when deemed necessary for my child’s health and well-being. Signature of Parent/Guardian ________________________________________________________ Date _____________ Printed Name of Parent/Guardian ______________________________________________________________________
Cabin Assignment (PRSC permits only one friend request per child.) My child would like to be placed in the same cabin with __________________________________________________ To reduce cliques and encourage openness, PRSC does not place groups of 4 or more friends in the same cabin. Comfort Level at Camp My child has been overnight away from home ______ nights. Please describe: ___________________________________ My child has a tendency to experience homesickness □ yes □ no □ not sure
PRINT CHILD’S LAST, FIRST NAME _______________________________ MEDICATIONS Point Reyes Summer Camp staff is permitted to administer only those medications, including prescription and over-the- counter medications, vitamins, supplements, medicated creams and/or lotions, with current labels attached and contained in original packaging. We are legally bound to administer prescriptions and dosages exactly as written. Please list all medications including prescription and over-the-counter medications, vitamins, supplements, medicated creams and/or lotions you would like us to administer to your child during camp.
My child will be taking NO medication(s) while at camp. My child will be taking the following medication(s) at camp:
Med #1 ___________________________ Dosage ___________ Reason _______________________________________ Specific Dosage & Time _____________________________________________________________________________ Med #2 ___________________________ Dosage ___________ Reason _______________________________________ Specific Dosage & Time _____________________________________________________________________________ Med #3 ___________________________ Dosage ___________ Reason _______________________________________ Specific Dosage & Time _____________________________________________________________________________ HEALTH HISTORY circle yes or no Please add additional pages, if necessary. Yes No Anaphylactic Reaction (life-threatening allergic reaction to insect sting, food, chemical, etc) Children diagnosed with severe allergic reaction/anaphylaxis must bring 2 allergic reaction kits (Epipen & Benadryl).
Trigger, date and severity of last reaction _____________________________________________________________
Check here if your child has been prescribed with and will be bringing 2 allergic reaction kits (Epipen & Benadryl).
Yes No Asthma Trigger(s) and date of last attack ___________________________________________________________________
Check here if your child has been prescribed with and will be bringing 2 asthma rescue inhalers.
Yes No Heart Condition Details ____________________________________________________________________ Yes No Diabetes Details ___________________________________________________________________________ Yes No Epilepsy Date and severity of last episode ______________________________________________________ Yes No Frequent Severe Headaches, Nose Bleeds, Vomiting or Fainting
Date and severity of last episode ____________________________________________________________________
Yes No Difficulties with any of the following: □ Mobility □ Speech □ Hearing □ Vision □ Bedwetting
Details _________________________________________________________________________________________
_______________________________________________________________________________________________
ALLERGIES List all known. Allergen
Describe reaction and management of reaction.
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
Year of most recent tetanus shot __________________
Activity Limitations Describe any activity restriction(s) your child will require ___________________________________________________ __________________________________________________________________________________________________ Dietary Restrictions My child is not permitted to eat
Details ____________________________________________________________________________________________
My child is a picky eater. Details ____________________________________________________________________
Please provide any additional information about your child’s overall physical, emotional and/or behavioral tendencies that would assist us in caring for him/her ____________________________________________________________________ __________________________________________________________________________________________________
ADVENTURE CAMP I & II ONLY (ages 12-16) Gear Request: My child would like to borrow:
NOTE: Scholarship recipients are given priority; we will contact you if we are NOT able to provide the gear you request.
Journal of Human Hypertension (2009) 23, 188–195& 2009 Macmillan Publishers Limited All rights reserved 0950-9240/09 $32.00Rationale and design of the KYOTOHEART study: effects of valsartan onmorbidity and mortality in uncontrolledhypertensive patients with high risk ofcardiovascular eventsT Sawada1, T Takahashi1, H Yamada1, B Dahlo¨f2 and H Matsubara1, for the KYOTO HEARTStudy Group1
Boys and Girls Club of MetroWest’s Pearl Street Clubhouse in Framingham Receives $5,000 From BJ’s Wholesale Club, Members and Procter & Gamble -Funding to support homework help and tutoring Power Hour program - Natick, Mass. (April 24, 2009) – The Boys and Girls Club of MetroWest’s Pearl Street Clubhouse in Framingham received a $5,000 grant from BJ’s Wholesale Clu